Grooming Contract

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Grooming Contract Powered By Docstoc
					State of Wisconsin
Department of Natural Resources                                                                                                                                                                      Snowmobile / ATV Trail Aids Program
PO Box 7921, Madison WI 53707-7921
dnr.wi.gov/org/caer/cfa                                                                                                                     Sheet _____ of _____                                     Trail Maintenance (non-grooming) Record
                                                                                                                                                                                                     Form 8700-006 (8/06)
Notice: Completion and submission of the data requested on this form is necessary to document actual costs incurred and is authorized pursuant to s. 350.12(4)(bm), Wis. Stats., and NR 50.05(16),
NR 50.09(4)(f)4. and NR 64.13(5), Wis. Adm. Code. Personally identifiable information collected will be used for program administration and may be made available to requesters as required under
Wisconsin's Open Records law [ss. 19.31-19.39, Wis. Stats.]. The costs documented here will serve as the basis of grant reimbursement.
                                                                                                                                                                                                     Club / Contractor                                    County

                                                                                                                                                                                                                                                          DODGE
                                                                                                      LABOR (per hour)                                                         STAFF USE                            Equipment and Supplies                             STAFF USE ONLY
                                                                                     $6.50                                                                                       ONLY                       (ATV, snowmobile, saw, tractor, truck, etc.)
                                     Trail                                                                                                                Hours                  Labor                    Equipment / Supplies Description              Hours         Hourly       Equipment
                                                                                                                                                                                                       Description with hp, DOT # (if applicable), etc.
     Date                        Name / No.                                 Work Description                                  Worker                     Worked                  Total $                  ** 1 piece of equipment per line **               Used       Rate         Total $

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                                                                                                                                        TOTALS              0.00           $                 -                                                     Total Equipment & Supplies $               -

*** Hours for equipment use is RUN time only, not idle time                                                                                                                                                                           Total Labor and Equipment & Supplies $                  -

I hereby certify that the hours and equipment specified above have been used for the Dodge County Snowmobile Trail System according to the signed Maintenance Contract and that this claim is just and correct to the best of my knowledge and belief.




Signature of person completing this form (Club Rep)                                                                                                                      Print Name                                                                                 Phone Number


               Rev: 10/08                                                                                                                                                                                                                         bbaed7ff-6212-4544-8444-930279d20a6e.xls

				
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